Healthcare Provider Details
I. General information
NPI: 1235337106
Provider Name (Legal Business Name): JAMES PATRICK HOWARD M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
M691 UNIVERSITY OF CALIFORNIA SAN FRANCISCO 505 PARNASSUS AVE
SAN FRANCISCO CA
94143-0001
US
IV. Provider business mailing address
M691 UNIVERSITY OF CALIFORNIA SAN FRANCISCO 505 PARNASSUS AVE
SAN FRANCISCO CA
94143-0001
US
V. Phone/Fax
- Phone: 415-476-6245
- Fax: 415-476-4009
- Phone: 415-476-6245
- Fax: 415-476-4009
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | A100155 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: